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2005, Vol.13, No.1

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    Neuromuscular Electrical Stimulation of the Neck Muscles for Dysphagia(Swallowing Disorders)

    정원미 | 김태현 | 정한영 | 2005, 13(1) | pp.15~23 | number of Cited : 12
    Abstract
    Objective : To evaluate the effectiveness of Neuromuscular Electrical Stimulation(NMES) treatment applied through electrodes placed on the neck in patients with dysphagia, and assess the safety of the treatment. Methods : NMES was administered for 10 dysphagia patients with a modified hand-held powered neuromuscular electrical stimulator connected to two pair of electrodes positioned on the neck for 1hour a day and 10times in 2weeks. The swallowing score was given between 0(aspirates own saliva) and 6(normal swallow) on the basis of the type of liquid consistency which can be swallowed by a patient without aspiration through Videofluroscopy(VFS) before and after NMES was started. The clinical findings of swallowing were evaluated before and after treatment and then went through comparative analysis by Wilcoxon signed-rank test. Results : The swallowing score significantly increased from 1.6 to 4.4 (p<0.05), and 90% of the patients showed improved swallowing. Also, gag reflex, cough reflex, tongue movement and laryngeal excursion with respect to swallowing were significantly recovered compared to before NMES. Conclusion : Therefore, NMES for dysphagia is proved to be safe and effective as it activates the muscles involving swallowing in the neck as well as is helpful for recovering the clinical finding of swallowing.
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    A Correlation between the Canadian Occupational Performance Measure and the Assessment of Motor and Process Skills: A Pilot Study

    강대혁 | 노종수 | 지석연 and 3other persons | 2005, 13(1) | pp.25~35 | number of Cited : 12
    Abstract
    Objective : The aim of this pilot study was to investigate the association between the scores of COPM which are rated by clients and those of AMPS that are rated by occupational therapists when measuring the changes in the quality of occupational performances. Methods : Seven children with developmental disabilities between 3 and 15 years of age from a local after-school program in Seosan City participated in a client-centered occupational therapy program for six months (2 sessions per week). Results : Statistically significant differences were found in score changes in all areas (p=.018 respectively) except for AMPS-M (p=.141) through Wilcoxon signed ranks test after client-centered occupational therapy program. Positive high correlations were found between AMPS-P and COPM-P (rs = .901), between AMPS-P and COPM-S (rs = .857) through Spearman rank correlation coefficient. Conclusion : The results of this pilot study suggest that both COPM and AMPS are valid and sensitive measurement tools in detecting qualitative and quantitative changes of occupational performance after client-centered occupational therapy program and these two essential occupation-based assessments work in harmony regardless of cultural difference in measuring occupational therapy outcome.
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    Effects of a Weighted Vest on Attention Task in Children with Attention Deficit and Hyperactivity Disorder

    Eun Young Yoo | 이지연 | 2005, 13(1) | pp.37~44 | number of Cited : 13
    Abstract
    Objective : This study examined the effects of using a weighted vest (deep pressure sensory input) for improving attention on cognitive tasks in children with attention deficit and hyperactivity disorder (ADHD). Methods : Using an ABA single-subject experimental research design, the number of distractions and the duration of attention to cognitive task were measured in two children with ADHD over a period of 3 weeks. Before the study, the participants had not received a program of weighted-based sensory integration therapy. Results : Both participants significant displayed a decrease in the number of distractions and an increase in the duration of attention while wearing the weighted vest. During the intervention withdrawal phase, participant 1 experienced an increase in the number of distraction and decrease in the duration of attention, but participant 2 never returned to baseline levels for these behaviors. Conclusion : The findings support the application of weighted vest as a part of the services provided to some children with ADHD. Additional research is needed to develop protocol about the effectiveness of wearing a weighted vest.
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    The Study of Activities of Daily Living Performance and Quality of Life for Elderly Residents in the Daejeon City

    장기연 | 강정미 | 2005, 13(1) | pp.45~56 | number of Cited : 11
    Abstract
    Objective : This study is designed for gaining relationship between ADL performance and quality of life by measuring the relating factors to the activities of daily living and quality of life for elderly's in Daejeon city. Methods : For this investigation, we chose 500 of elderly who were over 65 old, and inhabited in Daejeon city. For the assessment of this study, .Barthel Index, Frenchy Activities Index, and the factors of SF-12 which is related to quality of life were used. Results : The finding of this study were as follow. The mean of BADL performance score of elderly in Daejeon was 96.05 (SD 11.04) and there were significant differences at BADL performance by marriage status, family organization and existence of off- spring and occupation (p<0.05). The mean of IADL performance score of elderly in Daejeon was 18.41 (SD 10.28) and there were significant differences at IADL performance by sex, age, educational status, family organization , and existence of off-spring and occupation (p<0.05). BADL and IADL performance scores were significantly high when elderly's satisfactions of living and subjectivity of health status were high (p<0.05). Conclusion : For promoting elderly's quality of life, occupational therapists should have a plan of intervention which prepared for the complement of elderly's dependency problems and preserving their own life spontaneously and affirmatively.
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    The Study of Activities of Daily Living Performance and Quality of Life for Elderly Residents in the Daejeon City

    정민예 | Jeong Byoung Lock | 박수현 | 2005, 13(1) | pp.57~62 | number of Cited : 3
    Abstract
    Objective : The purposes of this study are to determine the percentage of body weight represented by backpacks, backpack's weight and types, and experience of pain caused heavy backpack in elementary school students in Korea. Methods : This research was conducted with 513 elementary students in one elementary school in Wonju. When elementary students came to school, student weights, their backpack weights, backpack types, and back-pain were measured by trained research assistants. Student weights and their backpack weights were measured by weighing beams. Weight of students were used by the school-data. The other information got to interview to children. Data management and analysis were performed using SPSS 12.0 version software. Results : The percentage of students were 225 girl students(43.86%) and 288 boy students(56.14%). 388 students(75.38%) used with cabinet. 125 students(24.37%) didn't use or were not usually cabinet. 226 students(51.85%) experienced back-pain caused heavy backpacks, otherwise 287 students(55.95%) didn't have that experience. 478 students(93.18%) used over both shoulder backpack. 11 students(2.14%) used over one shoulder backpack, 23 students(4.48%) used only hand backpack type. Just one student used with wheeled backpack. The mean backpack weights was 3.91kg. That increased significantly with increasing grade level. Conclusion : We recognized that most elementary school students carried heavy backpack but it was not significant difference in backpain. Heavy weight backpack could cause to musculoskeletal system disease. So, we need to using prevalent methods that were education, an ergonomical approach, parent or society concern.
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    Correlation of GMFM and BSID-Ⅱ for Children with Developmental Disabilities

    김지선 | 김태현 | 고대영 and 2other persons | 2005, 13(1) | pp.79~87 | number of Cited : 6
    Abstract
    Objective : We compared the Gross Motor Function Measure(GMFM) and the Bayley Scale of Infant Development-second edition (BSID-Ⅱ) to investigate the applicability of GMFM in evaluating infants with developmental disabilities except cerebral palsy. Methods : Subjects were 26 infants with a mean corrected age of 16.26(SD=8.17). Subjects divided into subgroups by gestational age, birth weight, corrected age. The GMFM and BSID-Ⅱ were administered to the total infants. Statistical analysis was done by Mann-Whitney U test and Spearman’s correlation, using SPSS-PC(version 10.0). Results : There were not statistically significant for the comparison of the GMFM percentage scores with the BSID-Ⅱ raw scores in subgroups expect corrected age group. The correlation coefficients of GMFM scores and BSID-Ⅱ mental scale were ranged between 0.63 and 0.72, those of GMFM scores and BSID-Ⅱ motor scale were ranged between 0.57 and 0.90 in subgroups. The average correlation coefficients of GMFM scores and BSID-Ⅱ mental scale were 0.71, those of GMFM scores and BSID-Ⅱ motor scale were 0.84 in total subjects. Conclusion : The findings suggest that the GMFM and BSID-Ⅱ are valuable in evaluating infants with developmental delays. Implications for selection and use of either measures are discussed.
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    The Comparison of Visuomotor Reaction Time on Dynavision Tasks in Well Adults

    유한나 | 강대혁 | Kim, Jin-Kyung and 2other persons | 2005, 13(1) | pp.89~95 | number of Cited : 4
    Abstract
    Objective : The purpose of this study was to compare the gender difference and explore the normative data on visuomotor reaction time employing dynavision apparatus. When the dynavision training in the clinical settings is applied, the gender should be considered in referring to the normal performance. Methods : Subjects were drawn from a group of 62 university students(31 women and 31 men) whose ages ranged between 19 and 27 with an average of 21.48±2.19. The dynavision apparatus was specifically designed to measure and train visual scanning, visual attention, visumotor reactions in focal and ambient visual attention, Two self-paced tasks(60sec, 240sec) were chosen to measure visuomotor reaction time. Results : The results showed the statistically significant difference between two groups. Men were faster than women on the reaction time(p<0.05). Conclusion : When the dynavision evaluation and training are applied in the clinical settings the gender should be considered in referring to the normal performance.